Am - Health Coach

Basic Details: _Fill the required information about business, unit, location, position, reports to position and date of updation of JD_

Business

Health Insurance

Unit

Aditya Birla Health Insurance Company Ltd

Location

MBC, Thane

Poornata Position Number of the job

Reports to: Poornata Position Number

Poornata Position Title of the job (30 characters max)

AM/ DM Manager - Health Management

Reports to: Poornata Position Title

Deputy Chief Manager

Function

Operations

Reports to: Function

Operations

Department

Ops - Health Management

Reports to: Department

Ops - Health Management

Designation of the Employee

AM/ DM Manager

Designation of the Manager

Deputy chief manager

Date of writing/updation of JD

22-Jan-24

1) Job Purpose: _Write the purpose for which the job exists (in 2-3 lines)_ (Max 1325 Characters)The role is responsible for planning, and coordinating operational activities for the organization. Providing support to the team and helping business in achieving success from the same.

2) Dimensions: _Mention quantitative or qualitative parameters that are relevant for the job and provide a better understanding of the scope and scale of the job._

Business Workforce Number
(Max 254 Characters)

On Roll - 6000+

Offroll/ Part time - 4000+

Unit Workforce Number
(Max 254 Characters)

On Roll - 6000

Offroll/ Part time - 4000+

Function Workforce Number
(Max 254 Characters)

On Roll - 800

Offroll/ Part time - 279

Department Workforce Number
(Max 254 Characters)

On roll - 40

Other Quantitative and Important Parameters for the job: Budgets/ Volumes/No. of Products/Geography/ Markets/ Customers or any other parameter

3) Job Context & Major Challenges: Write the specific aspects of the job that provide a challenge (internal and external) to the jobholder in the context of the Business/Unit/Function/Department/Section ((Max 3975 Characters)About the Aditya Birla Health Insurance
- Aditya Birla Health Insurance Co. Limited (ABHICL) was incorporated in 2015 as a 51:49 joint venture between Aditya Birla Capital Limited (ABCL) and MMI Strategic Investments (Pty) Ltd. ABHICL commenced its operations in October 2016.

ABHICL has entered the competitive health insurance market with an aim to expand the category to wider customer segments, beyond the ones that health insurance companies traditionally have marketed to. As the 6th entrant in a category with well-established players, ABHICL is creating differentiation and equity for itself though the unique business proposition of “Health Insurance for All”, a one of a kind proposition in India at the moment. This is a philosophy that is being built through every single consumer touch point and into every single backend process of the company to ensure a customer’s experience of our proposition is continuous and seamless.

ABHI’s unique offering to market includes proposition includes
- A Comprehensive Incentivized Wellness Program that will attract the young and health conscious and will motivate, guide and reward them to stay healthy
- A Chronic Care Management Program to cater to the unmet needs of a growing Indian population of those suffering from chronic lifestyle conditions like Diabetes, Asthma, High Cholesterol and Hypertension from Day 1
- ABHICL serves as an enabler and influencer of health and healthcare choices that customers make, in addition to being a payer of healthcare expenses. Thus, ABHICL would act like a much needed catalyst to grow the prevalent health insurance landscape in India through product innovations and a wider choice of consumer relevant products.
- ABHICL’s vision has always been digital. The company has been successful in adopting paper-less approach right from identifying to on-boarding to delivering seamless experience of its customers & employees.
- Co-operation from stakeholders in timely execution of Risk Actionable & Internal audit (including sharing of data requirement to management response for closure of audit report)

Key Challenges for the role
- Knowledge of DRM processes:

- Stay abreast with new processes / suggest improvements
- Understanding of DRM systems (process flow & System fields)
- TAT & expectations management for specialized business handling.
- Co-ordinate with other departments, team members and management to ensure smooth information flow to ensure that operations are carried out, recurring issues are resolved.
- Create & maintain standards/protocols for DRM team
- Maintain a consistent service delivery to ensure client retention and satisfaction
- Identify risks to the company and escalate accordingly
- Execution of processes-operations, to be in line with defined standards
- Inputs for refinement and development of guidelines and procedures.
- Publishing raised claims with Claims Team and sharing a positive feedback
- Ensure timely and accurate updation of various documents/reports in compliance with the SOP

4) Key Result Areas: Write the key results expected from the jo